49P-27028-42261

2 vaccinations 7 coded responses 27 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 323 / FL
Registered: 2021-01-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Headache, Rhinorrhoea — Feeling: Fair · Be unable to work

Free text: Fatigue, runny nose, cough, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Cough, Headache, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: 4-5 headachs this week. I do not usually have headaches.Coughing, with tickle in throat.Sniffles, runny nose. I have never been diagnosed with allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain behind knee when walking progressing to all the time. Mild when resting moderate when walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Fair

Free text: 5-6 days a week I have a runny nose, and minor headache. This has been since taking vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Seasonal cold, not the flu, not COVID

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Slight dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Dizziness

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Fatigue, runny nose, cough, headache

Release 5 — day 28, dose 2

2021-03-12

Symptoms: 4-5 headachs this week. I do not usually have headaches.Coughing, with tickle in throat.Sniffles, runny nose. I have never been diagnosed with allergies.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Pain behind knee when walking progressing to all the time. Mild when resting moderate when walking.

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: 5-6 days a week I have a runny nose, and minor headache. This has been since taking vaccine.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Seasonal cold, not the flu, not COVID

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Dizziness	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release